ALLIANCE HOME HEALTH OF IDAHO, LLC (NPI# 1063587509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063587509 |
| Entity Type | Organization |
| Organization Name | ALLIANCE HOME HEALTH OF IDAHO, LLC |
| Practice Address |
353 N 4th Ave Suite 205 Pocatello ID 83201-6390 |
| Practice Telephone | 2084782291 |
| Practice Fax Number | 2084781363 |
| Mailing Telephone | 2084782291 |
| Mailing Fax Number | 2084781363 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JUSTIN L. LARSEN (OWNER, CEO) |
| Authorized Official Telephone | 4357533133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467772897 | Alliance Home Health of Idaho, LLC | Hospice Care, Community Based | 218 Falls Ave, Twin Falls, ID 83301-3372 | 2010-06-08 |
| Street Address |
353 N 4TH AVE SUITE 205 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-6390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134621436 | Bmh Inc. | Surgery | 353 N 4th Ave, Pocatello, ID 83201-6390 | 2018-03-02 |
| 1740632942 | Bmh Inc | Clinic/Center | 353 N 4th Ave, Suite 102, Pocatello, ID 83201-6390 | 2016-07-12 |
| 1124448675 | Jason W Balls | Counselor | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2014-04-23 |
| 1265862783 | Naomi Reardon | Counselor | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2013-11-19 |
| 1598105462 | Joshua M Nielsen | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-06-25 |
| 1881034759 | Aaron S Green | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-06-25 |
| 1124464318 | Jackie L Newsom | Social Worker | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2013-05-15 |
| 1770929879 | Terri S Bergmeier | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-15 |
| 1730524885 | Chidimma Njoku | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-02 |
| 1326483470 | Dominee Rachelle Hall | Social Worker | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858052 | Advanced Home Health and Hospice | Home Health | 444 Hospital Way Ste 223, Pocatello, ID 83201-2742 | 2018-04-10 |
| 1396133732 | Longshot Enterprises, Inc. | Home Health | 353 E Lander St, Pocatello, ID 83201-6314 | 2015-01-08 |
| 1841638509 | Care Connection of Idaho | Home Health | 155 Valleyview Dr, Pocatello, ID 83204-4712 | 2013-06-04 |
| 1396074027 | Heritage Home Health LLC | Home Health | 1009 W Quinn Rd, Pocatello, ID 83202-2425 | 2009-12-08 |
| 1720138563 | Portneuf Home Health Care, LLC | Home Health | 1111 North 8th Street, Suite B, Pocatello, ID 83201-5789 | 2007-01-12 |
| 1568563724 | Healthpro Home Health LLC | Home Health | 1308 E Center St, Pocatello, ID 83201-4702 | 2006-09-26 |
| 1649277393 | State of Idaho | Home Health | 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 | 2005-07-07 |
| 1104243021 | Rocky Mountain Home Health and Hospice | Home Health | 732 Washington Ave, Pocatello, ID 83201-3748 | 2014-03-28 |
| 1699864462 | Pcs Helping Hands | Home Health | 1308 E Center St, Pocatello, ID 83201-4702 | 2006-10-12 |
| 1053353227 | Portneuf Medical Center | Home Health | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2006-06-12 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.